BackgroundAdolescents living with human immunodeficiency virus (HIV) experience challenges, including lack of involvement in their care as well nondisclosure of HIV status, which leads to poor adherence to antiretroviral therapy (ART). Parents have authority over their children, but during adolescence there is an increasing desire for independence. The aim of the study was to explore adolescents’ experience of challenges identified by adolescents ages 10–19 years attending HIV care and treatment at Temeke Regional Referral Hospital in Tanzania. MethodsAn exploratory descriptive qualitative (...) design was employed in the HIV Care and Treatment Centre (CTC) in the Out-Patient Department at the Temeke Regional Referral Hospital in Tanzania with adolescents living with HIV who were 10–19 years of age. A total of 22 adolescents participated in semi-structured face-to-face interviews after parental consent and adolescent assent were obtained. Participants were interviewed about their participation in decisions to be tested for HIV and enrolled in the CTC, concerns surrounding disclosure of their HIV status to the adolescent or to others, stigma and discrimination, and the effect of these challenges on their adherence to medication. All interviews were audio-taped, transcribed verbatim in Swahili, and back-translated to English. Data analysis included both inductive and deductive thematic analysis.ResultsQualitative themes identified included lack of participation in decisions about HIV testing, challenges to enrollment in care and treatment; issues around disclosure of HIV status, such as delays in disclosure to the adolescent and disclosure to other persons and benefits and harms of such disclosures; and factors supporting and interfering with adherence to ART, such as parental support, organizational (clinic) support and problems, and self-stigmatization and shame.ConclusionLack of adolescents’ involvement in their care decision making and delayed disclosure of HIV status to the adolescent were identified concerns, leading to poor adherence to ART among adolescents. Disclosure to others, especially teachers, helped adolescents at school to take their medication properly. Disclosure to others led to stigma and discrimination for some adolescents. More research is needed to better understand the role of disclosure and its benefits and challenges for HIV-positive adolescents in Tanzania. (shrink)

Background: Collaboration between physicians and nurses is key to improving patient care. We know very little about collaboration and interdisciplinary practice in African healthcare settings. Research question/aim: The purpose of this study was to explore the ethical challenges of interdisciplinary collaboration in clinical practice and education in Botswana Participants and research context: This qualitative descriptive study was conducted with 39 participants (20 physicians and 19 nurses) who participated in semi-structured interviews at public hospitals purposely selected to represent the three levels (...) of hospitals in Botswana (referral, district, and primary). Ethical considerations: Following Institutional Review Board Approval at the University of Pennsylvania and the Ministry of Health in Botswana, participants’ written informed consent was obtained. Findings: Respondents’ ages ranged from 23 to 60 years, and their duration of work experience ranged from 0.5 to 32 years. Major qualitative themes that emerged from the data centered on the nature of the work environment, values regarding nurse–doctor collaboration, the nature of such collaboration, resources available for supporting collaboration and the smooth flow of work, and participants’ views about how their work experiences could be improved. Discussion: Participants expressed concerns that their work environment compromised their ability to provide high-quality and safe care to their patients. The physician staffing structure was described as consisting of a few specialists at the top, a vacuum in the middle that should be occupied by senior doctors, and junior doctors at the bottom—and not a sufficient number of nursing staff. Conclusion: Collaboration between physicians and nurses is critical to optimizing patients’ health outcomes. This is true not only in the United States but also in developing countries, such as Botswana, where health care professionals reported that their ethical challenges arose from resource shortages, differing professional attitudes, and a stressful work environment. (shrink)

Climate models calibrated exclusively with observations from the 19th through 21st centuries are unsuitable for assessing many important hypotheses about the future. Many systems in the modern climate are expected to cross dynamic thresholds in the near future, requiring more than the instrumental record for adequate calibration. In this paper I argue that paleoclimate analogues from earth’s past can mitigate this threshold problem, even if the modern climate exhibits features that make it historically unique. While this requires that paleoclimatologists be (...) increasingly discriminate in the past systems they target for modern analogues, the upshot is a practice of climate model construction that improves the reliability of future projections. All of this is achieved by integrating features of past climate systems discovered by the study of earth deep in the past. My analysis synthesizes important empirical work done by climate modelers and paleoclimatologists with relevant philosophical work on analogical reasoning in science. (shrink)

Does thinking have a history? If there are no necessarily changeless structures to be found in things and in our inquiry into them, then what knowledge of the world and ourselves is possible? In this boldly original and elegantly written study, Joseph Margolis argues for a radically historicized view of history that treats it as both a real process and a narrative account, each a product of continual change. Developing his argument through discussions of such influential philosophers of history (...) and the natural sciences as Vico, Danto, Collingwood, Habermas, Hempel, Popper, Putnam, and Gadamer, he provides a coherent theory of flux and invariance that resolves several deep puzzles regarding human nature and understanding. While maintaining a thorough command of Anglo-American philosophy, Margolis challenges many of its most cherished assumptions and demonstrates the sense in which history and interpretation are one and the same. Exploring one of the master themes of this century, his book offers a novel theory of the human condition whose conclusions and concerns seem certain to inform philosophy in the next century as well. (shrink)

The thesis of the present volume is critical and dual. (1) Present day philosophy of man and sciences of man suffer from the Greek mis taken polarization of everything human into nature and convention which is (allegedly) good and evil, which is (allegedly) truth and fal sity, which is (allegedly) rationality and irrationality, to wit, the polar ization of all fields of inquiry, the natural and social sciences, as well as ethics and all technology, whether natural or social, into the (...) totally positive and the totally negative. (2) Almost all philosophy and sci ences of man share the erroneous work ethic which is the myth of man's evil nature - the myth of the beast in man, the doctrine of original sin. To mediate or to compromise between the first view of human nature as good with the second view of it as evil, sociologists have devised a modified utilitarianism with deferred gratification so called, and the theory of the evil of artificial competition (capitalist and socialist alike) and of keeping up with the Joneses. Now, the mediation is not necessary. For, the polarization makes for abstract errors which are simplistic views of rationality, such as reductionism and positivism of all sorts, as well as for concrete errors, such as the disposition to condemn repeatedly those human weaknesses which are inevitable, namely man's inability to be perfectly rational, avoid all error, etc. , thus setting man against himself as all too wicked. (shrink)

Adaptationists explain the evolution of religion from the cooperative effects of religious commitments, but which cooperation problem does religion evolve to solve? I focus on a class of symmetrical coordination problems for which there are two pure Nash equilibriums: (1) ALL COOPERATE, which is efficient but relies on full cooperation; (2) ALL DEFECT, which is inefficient but pays regardless of what others choose. Formal and experimental studies reveal that for such risky coordination problems, only the defection equilibrium is evolutionarily stable. (...) The following makes sense of otherwise puzzling properties of religious cognition and cultures as features of cooperative designs that evolve to stabilise such risky exchange. The model is interesting because it explains lingering puzzles in the data on religion, and better integrates evolutionary theories of religion with recent, well-motivated models of cooperative niche construction. (shrink)

Birch (2022a) proposes a theory-light methodology for studying whether invertebrates have the capacity for (phenomenal) consciousness. The success of any such methodology turns on the positive markers it proposes, and whether they are genuinely ecumenical. After providing an account of what it is for a marker to be ecumenical, it is argued that one of the more influential set of markers offered – unlimited associative learning – clearly counts as positive evidence for consciousness on only a small handful of theories, (...) rendering Birch???s theory-light approach tacitly theory-heavy. What emerges is a broader lesson concerning what exactly is required for the theory-light framework to be successful. (shrink)

ABSTRACT Generative artificial intelligence is transforming the way we make, and think about, art. With prompting from human users, these generative systems now produce aesthetically compelling and seemingly creative works in a variety of artistic domains. In doing so, they challenge the ways we think about artistic credit, about creativity, and about the mechanism of legal copyright, which is meant to protect and promote creativity in a capitalist art market. All of this is currently at play in the courtroom, as (...) artists contest the ways in which their artworks can be rightfully fed into these artificial systems (“the problem of the inputs”), and other artists are challenged over whether they might be credited for the visual images these systems generate (“the problem of the outputs”). Here, we explore these problems as they arise in visual art. We argue that the contested legal landscape surrounding these artificial systems reflects the ways they challenge our received notions of artistic credit and creativity. And we suggest that clarifying or changing the application of copyright in light of their generative capacities will ultimately involve revising our conception of art. (shrink)

Aspects of the world are normative in as much as they or their existence constitute reasons for persons, i.e. grounds which make certain beliefs, moods, emotions, intentions or actions appropriate or inappropriate. Our capacities to perceive and understand how things are, and what response is appropriate to them, and our ability to respond appropriately, make us into persons, i.e. creatures with the ability to direct their own life in accordance with their appreciation of themselves and their environment, and of the (...) reasons with which, given how they are, the world presents them. An explanation of normativity would explain the various puzzling aspects of this complex phenomenon. In particular it would explain how it is that aspects of the world can constitute reasons for cognitive, emotive, and volitional responses; how it is that we can come to realise that certain cognitive, emotional or volitional responses are appropriate in various circumstances, and inappropriate in others; and how it is that we can respond appropriately. This paper explores an aspect of the last of these questions. (shrink)

This article explores normative questions about what legal rights settled immigrants should have in liberal democratic states. It argues that liberal democratic justice, properly understood, greatly constrains the distinctions that can be made between citizens and residents. The longer people stay in a society, the stronger their moral claims become, and after a while they pass a threshold that entitles them to virtually the same legal status as citizens and eventually easy access to citizenship itself.

This is a copy of the Proceedings version of a paper presented at the Workshop on Computational Intelligence and Semiotics, organized by João Queiroz and Ricardo Gudwin, held at Itaú Cultural, São Paulo, Brazil, on 8-9 October, 2002. (This version contains material not actually delivered at the conference.) Queiroz and Gudwin will be releasing the Proceedings volume on a..

There is a trend of recruiting faith leaders at mosques to overcome religious barriers to organ donation, and to increase donor registration among Muslims. Commentators have suggested that Muslims are not given enough information about organ donation in religious sermons or lectures delivered at mosques. Corrective actions have been recommended, such as funding campaigns to promote organ donation, and increasing the availability of organ donation information at mosques. These actions are recommended despite published literature expressing safety concerns (i.e., do no (...) harm) in living and end-of-life organ donation. Living donors require life-long medical follow-up and treatment for complications that can appear years later. Scientific and medical controversies persist regarding the international guidelines for death determination in end-of-life donation. The medical criteria of death lack validation and can harm donors if surgical procurement is performed without general anesthesia and before biological death. In the moral code of Islam, the prevention of harm holds precedence over beneficence. Moral precepts described in the Quran encourage Muslims to be beneficent, but also to seek knowledge prior to making practical decisions. However, the Quran also contains passages that demand honesty and truthfulness when providing information to those who are seeking knowledge. Currently, information is limited to that which encourages donor registration. Campaigning for organ donation to congregations in mosques should adhere to the moral code of complete, rather than selective, disclosure of information. We recommend as a minimal standard the disclosure of risks, uncertainties, and controversies associated with the organ donation process. (shrink)

To adequately model mathematical arguments the analyst must be able to represent the mathematical objects under discussion and the relationships between them, as well as inferences drawn about these objects and relationships as the discourse unfolds. We introduce a framework with these properties, which has been used to analyse mathematical dialogues and expository texts. The framework can recover salient elements of discourse at, and within, the sentence level, as well as the way mathematical content connects to form larger argumentative structures. (...) We show how the framework might be used to support computational reasoning, and argue that it provides a more natural way to examine the process of proving theorems than do Lamport’s structured proofs. (shrink)

Provides a set of normative measure sto assess the value of nature and proposes the new discipline of foundational ecology as a response to environmental crisis.

The literature on time perception is discussed. This is done with reference both to the ''cognitive-timer'' model for time estimation and to the subjective experience of apparent duration. Three assumptions underlying the model are scrutinized. I stress the strong interplay among attention, arousal, and time perception, which is at the base of the cognitive-timer model. It is suggested that a multiplicative function of two key components (the number of subjective time units and their size) should predict apparent duration. Implications for (...) other cognitive domains are drawn, and in particular an analogy is suggested between apparent duration and apparent movement. (shrink)

(No abstract is available for this citation).

Moral philosophers are fond of the dictum “ought implies can” and even deontologists normally admit the need to take account of consequences in the design of social institutions. Too often, however, philosophers fail to take advantage of the knowledge provided by the social sciences about the constraints and consequences of alternative forms of social organization. By discussing ideals in abstraction from the problems of institutionalization, they fail at least to see some of the important consequences and costs of a proposed (...) ideal, and sometimes they fail even to understand the ideal itself. (shrink)

This collection of literature attempts to compile many of the classic, timeless works that have stood the test of time and offer them at a reduced, affordable price, in an attractive volume so that everyone can enjoy them.

If we can save the lives of only one of multiple groups of people, we might be inclined simply to save whichever group is largest. We may worry, though, that automatically saving the largest group fails to take each saveable individual sufficiently into account, offering some of these individuals no chance at all of being rescued. Still wanting to give larger groups higher chances of survival, we may then say that we ought to employ a proportionally weighted lottery to determine (...) which group to save. In this paper, I argue that this would be a mistake. Given the most plausible way of specifying it, the weighted-lottery view itself fails to treat each saveable individual with equal moral respect. (shrink)

We would like to thank the commentators for their generous comments, valuable insights and helpful suggestions. We begin this response by discussing the selfishness axiom and the importance of the preferences, beliefs, and constraints framework as a way of modeling some of the proximate influences on human behavior. Next, we broaden the discussion to ultimate-level (that is evolutionary) explanations, where we review and clarify gene-culture coevolutionary theory, and then tackle the possibility that evolutionary approaches that exclude culture might be sufficient (...) to explain the data. Finally, we consider various methodological and epistemological concerns expressed by our commentators. (shrink)

This volume collects Keith Donnellan's key contributions dating from the late 1960s through the early 1980s, along with a substantive introduction by the editor Joseph Almog, which disseminates the work to a new audience and for posterity.

Ever since the publication of Placide Tempel's epoch-making work Bantu Philosophy, African philosophers have worked to dispel the myth that there is no metaphysics in Africa.

One of the most commonly observed peculiarities of the instrumental conception of rationality is that when applied in contexts of social interaction it sometimes prescribes actions that will predictably result in suboptimal outcomes. Often these outcomes could be avoided if agents were able to credibly commit themselves to refraining from exercising certain options available to them. The prisoners’ dilemma is the classic example. This problem has generated a small growth industry of attempts to modify the instrumental model in order to (...) incorporate commitments. The reason that philosophers are so attracted to this project is that it seems to offer them an opportunity to finish off the job that Socrates began, viz. to refute moral skepticism of the ‘rational egoist’ variety.1 None of this has worked very well, but enthusiasm for the project appears to continue unabated. (shrink)

Economics is a science - at least positive economics must be. And science is in part applied mathematics, in part empirical observations and tests. Looking at the history of economics, one cannot find much testing done before the twentieth century, and even the collection of data, even in the manner Marx engaged in, was not common in his day. It is true that economic policy is an older field, and in that field much information is deployed for the purpose of (...) prescribing a course of action. But this is not to say that the information procured for that purpose is either based on observation or has been tested. In the seventeenth century some alchemists and economists hoped to boost the economy by manufacturing gold, others feared inflation; and the British Parliament legislated against manufacturing gold. David Hume proved in the eighteenth century - quite a priori - that doubling the quantity of gold will only double the price of each commodity and he thus set things at rest for a while. Later the question was opened again when Marx, for example, showed historically how the gold robbed from the Americas started Europe's boom. Yet the theory - the quantity theory of money, as it is called - which Hume proved a priori, is still contested and still hardly tested to economists' satisfaction: is the price level fixed mainly by the amount of available money? Some economists answer yes, others no. (shrink)

The theory of subjective probability and utility recently proposed by professor richard jeffrey has several unique features and appears to be in some ways distinctly more satisfactory than earlier theories. There is, However, One very important class of decision problems which is not discussed by professor jeffrey--Problems concerned with decisions about strategies for using information. The principal task of this paper is to point out some questions which arise in attempting to deal with these decision problems within jeffrey's theory. To (...) do this it will be necessary to examine in some detail jeffrey's discussion of the relation between his theory and those of ramsey and savage. (shrink)

PROFESSOR N D O’Donoghue’s kindly critical, and appreciated, response to my article, ‘The First Part of the Third Way’. is most deserving of a response in turn. I offer the following reflections.

Philosophers wanted commonsense to fight skepticism. They hypostasized and destroyed it. Commonsense is skeptical--Bound by a sense of proportion and of limitation. A scarce commodity, At times supported, At times transcended by science, Commonsense has to be taken account of by the critical-Realistic theory of science. James clerk maxwell's view of today's science as tomorrow's commonsense is the point of departure. It is wonderful but overlooks the value of the sense of proportion.

Over the past quarter of a century the work of few philosophers has exerted such powerful influence, or been the centre of such vigorous debate, as that of Alasdair MacIntyre. And although MacIntyre has not often formally addressed educational issues, the thrust of his writing has seemed to bear more clearly on education than that of most philosophers. His assault on central tenets of the Enlightenment in After Virtue already contained an implicit critique of public education in the modern era. (...) That critique was extended and made more explicit in later writings such as his Richard Peters Lecture ‘The Idea of an Educated Public’ (1987), the concluding chapters of Whose Justice? Which Rationality? (1988), the final chapter of Three Rival Versions of Moral Enquiry (1990), and the essay ‘Aquinas’s Critique of Education: Against his Age, Against Ours’ (1998). With less polemical intensity he furnished some further arguments on education and upbringing in his book Dependent Rational Animals (1999a). And his most recent comments on the subject are presented in the dialogue published in the Journal of Philosophy of Education (MacIntyre and Dunne, 2002). Moreover, even in his most critical writing MacIntyre has also developed an affirmative vision that has seemed to offer resources for a fruitful reconceptualisation of education: his steady concern with human flourishing, strongly linked to his own distinctive conceptions of virtue and of practice, as well as to his ideas of the biographical unity of a life and the encompassing power of traditions, flows easily into discourse about the aims of education and the kind of undertaking engaged in by teachers. (shrink)

The achievement of self-consciousness in Hegel’s Phenomenology hinges on establishing a relationship with another self-conscious being. How this is accomplished, and even that it is accomplished in Hegel’s text, are topics of dispute and misunderstanding in the literature. I show how Hegel argues for this intersubjective origin of self-consciousness, first, by comparing Hegel’s analysis of lord and bondsman to Sartre’s analysis of intimacy. Second, I focus on two in-terpretive challenges. First, I argue that the staking of life comes from an (...) other-oriented epistemological relation, and not simply from an im-mediate concern with dominating the other. Second, contrary to many interpretations which see the bondsman’s development arising out of an isolated activity merely between himself and the products of his labor, I argue that the slave’s ability to gain knowledge of himself as a self is only possible by establishing a relationship with the lord. This point is essential because, if readings of the bondsman’s development as isolated from the lord are correct, then Hegel has in fact not succeeded in showing that self-consciousness only develops out of intersubjective recognition. (shrink)

Xenophon's Socrates, like Plato's, holds that wisdom comes with practical abilities. But influential interpretations of Xenophon's Socrates attribute to him a splintered view of wisdom, on which there is no wisdom simpliciter which is specially connected to all good actions. In this paper, I argue that a crucial text is significantly more problematic for the splintered view than hitherto appreciated, while the texts which are supposed to support the splintered view do not. But Xenophon's Socrates comes apart from Plato's in (...) having an interesting story about why wisdom comes with practical abilities: the unwise lack a special prohairetic ability to choose fine and good actions. (shrink)

The present attempt to indicate the general manner in which the kinship system of a people can be stated as an interpreted axiomatic system, with utilization of the symbolism of modern mathematical logic, is intended as a demonstration of the applicability of contemporary logical methods to problems in the social sciences. Aside from the obvious general advantages in the way of clarity and logical rigour to be gained by an application of axiomatic method, there emerges as by-products a convenient system (...) of kinship symbolization and what is believed to be a solution to the long-standing controversy concerning the use of the terms ‘descriptive’ and ‘classificatory’ in reference to kinship systems. Since kinship terms are words in languages, the present exposition is perhaps of interest in that it shows how meaning in a semantic field of related terms can be defined by logical methods. So all the directional or temporal terms in a specific language might be treated as kinship terms are here. The possibility of a systematic treatment of the semantic aspects of linguistics which so far have resisted this type of treatment should be of interest to linguists. (shrink)

Heinrich Heine had not only many places of residence during his years in Germany, but he also made numerous journeys throughout Europe. Thus, during his time in France, he got to know the country substantially better and furthermore he would have liked to undertake a detour to Spain. Since his student days, Spain was for him as a German Jew the epitome of a Jewish- Christian-Islamic symbiosis despite many differences and difficulties. He slipped into the role of the Moors to (...) express his own outsider role within the German Christian majority society. Heine admired the great Jewish achievements and remained critical of Christian claims, although he had become a Protestant after being baptized at the end of his law studies. His tragedy Almansor, poems from the Buch der Lieder, texts in prose and epic poems from the Parisian years as well as in his literary bequest and above all the last collection of poems called Romanzero with their moving “Spanish” texts, namely the stories about Jews, Christians and Muslims, are the most important poetic evidences of religious coexistence and its problems. (shrink)